{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:52:06Z","timestamp":1747187526234,"version":"3.40.5"},"reference-count":15,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T00:00:00Z","timestamp":1725321600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Dermatology"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To explore the dermoscopic features of lichen sclerosus in different parts of the external genitalia in children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis of the dermoscopic features of 42 female children with vulvar lichen sclerosus treated in the Department of Dermatology of Shanxi Children's Hospital from January 2020 to May 2023.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 42 female children, aged 3\u201314\u2009years (mean: 7.24\u2009\u00b1\u20092.43\u2009years), the duration of vulvar lichen sclerosus ranged from 3\u2009months to 2\u2009years (mean: 9.83\u2009\u00b1\u20094.93\u2009months). Clinical lesions occurred in the labia minora in 18 cases (42.9%), labia majora in 38 cases (90.5%), posterior fourchette in 36 cases (85.7%), perianal area in 13 cases (31.0%), anterior fourchette in 17 cases (40.5%), clitoris in seven cases (16.7%), and interlabial sulcus in 11 cases (26.2%). Dermoscopic findings common in the labia majora included follicular keratotic plugs, cloverleaf\u2010like structures, comedo\u2010like openings, and linear vessels (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.05); however, purple\u2013red globules and patches and white linear streaks were more common in the posterior fourchette (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.05), whereas dotted vessels were more common in the labia minora (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Common dermoscopic findings in pediatric vulvar lichen sclerosus were yellow\u2010white structureless areas, white linear streaks, follicular keratotic plugs, and cloverleaf\u2010like structures; yellow\u2010white structureless areas and white linear streaks showed the highest specificity. The dermoscopic findings varied among different affected areas, which provides a basis for further understanding of the characteristics of different sites of vulvar lichen sclerosus in the pediatric population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pde.15743","type":"journal-article","created":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T11:16:35Z","timestamp":1725362195000},"page":"1091-1095","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dermatoscopic features of vulvar lichen sclerosus in children: A retrospective study"],"prefix":"10.1111","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4592-9839","authenticated-orcid":false,"given":"Yuyang","family":"Han","sequence":"first","affiliation":[{"name":"Department of Dermatology Shanxi Children's Hospital and Shanxi Maternal and Child Health Hospital  Taiyuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Runtao","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Dermatology Shanxi Children's Hospital and Shanxi Maternal and Child Health Hospital  Taiyuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuanjun","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Dermatology Shanxi Children's Hospital and Shanxi Maternal and Child Health Hospital  Taiyuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,9,3]]},"reference":[{"issue":"7","key":"e_1_2_8_2_1","first-page":"477","article-title":"Prevalence of vulvar lichen sclerosus in a general gynecology practice","volume":"50","author":"Goldstein AT","year":"2005","journal-title":"J Reprod Med"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1067\/mjd.2001.113474"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.16540"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/pde.14771"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.3969\/j.issn.1674\u20108468.2023.03.009"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468\u20103083.2012.04595.x"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1159\/000439198"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.35541\/cjd.20210447"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2011.04.039"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.issn.0412\u20104030.2018.11.007"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.issn.0412\u20104030.2016.03.013"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.13080"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2014.07.008"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archdermatol.2009.261"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.13112"}],"container-title":["Pediatric Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pde.15743","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T08:55:15Z","timestamp":1732092915000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pde.15743"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,3]]},"references-count":15,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1111\/pde.15743"],"URL":"https:\/\/doi.org\/10.1111\/pde.15743","archive":["Portico"],"relation":{},"ISSN":["0736-8046","1525-1470"],"issn-type":[{"type":"print","value":"0736-8046"},{"type":"electronic","value":"1525-1470"}],"subject":[],"published":{"date-parts":[[2024,9,3]]},"assertion":[{"value":"2024-05-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}